Individual
DR. JASON THEODOSAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5257 N VIA SEMPREVERDE, TUCSON, AZ 85750-5967
(520) 577-9550
Mailing address
5257 N VIA SEMPREVERDE, TUCSON, AZ 85750-5967
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
19640
AZ
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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